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WE MAKE DELIVERIES INSIDE THE CURB LINE AND ON THE LOT AT THE CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY FOR DAMAGES RESULTING FROM SUCH DELIVERIES. <br />ALL BILLS DUE AND PAYABLE BY THE 10TH OF THE MONTH. A 1'/v% PER MONTH CHARGED ON PAST DUE ACCOUNTS. THIS IS AN ANNUAL <br />PERCENTAGE RATE OF 18N. CUSTOMER WILL BE RESPONSIBLE FOR ALL COURT AND ATTORNEY COSTS FOR COLLECTION. <br />SIERRA OFFICE SUPPLIES d PRINTING (916) 386-1872 <br />SHIPPING UHUtH <br />P.U.C. X140756 <br />and FREIGHT BILL <br />D I L LA R D TRUCKING <br />Hazardous Waste Hauler X1715 <br />P.O. BOX 624 <br />/ / <br />Date <br />19 <br />RODEO, CALIFORNIA 94572-0624 <br />TRUCK <br />TRAILER <br />Business Phone: (415) 724-5116 <br />TYPE OF LOADING <br />NO. <br />NO. ! <br />Home Phone: (415) 799-0220 <br />❑BUNKER ❑BELT <br />SUB. <br />D POWER D HAND <br />HAULER . <br />PRIME <br />TAG <br />CONSIGNEE <br />CARRIER <br />NO. <br />SHIPPER <br />DESTINATION <br />POINT <br />CITY <br />OFORIGIN <br />CITY <br />P.O. NO. <br />MATERIALS <br />FUEL <br />No. of Axles <br />ONE WAY MILEAGE <br />LOADING <br />UNLOADING <br />Truck Type <br />N0, <br />SCALE <br />TAG NO. <br />YARDS OR <br />WEIGHT <br />TIME <br />ARRIVE <br />TIME <br />LEAVE <br />TIME <br />ARRIVE <br />TIME <br />LEAVE <br />GAL. <br />TIME STARTED LAST LOAD — <br />1 <br />TIME ARRIVED TO DUMP LAST LOAD — <br />2 <br />NET RUNNING TIME LAST LOAD — <br />3 <br />TIME FINISHED DUMP LAST LOAD — <br />4 <br />TIMEWED TO RETURN, SAME <br />6 <br />AS NETT RUNNING TIME LAST LOAD — <br />OFFICE USE ONLY <br />6 <br />7 <br />TOTAL HOURS OR TONS <br />6 <br />1 <br />RATE PER HOUR OR TON <br />$ <br />9 <br />--- - <br />SUB TOTAL <br />$ <br />0 <br />SUR CHARGES <br />$ <br />1 <br />2 <br />3 <br />4 <br />5 <br />SALES TAX <br />$ <br />6 <br />BRIDGE FARE <br />$ <br />7 <br />STARTSTOP <br />DEDUCT <br />NET <br />TOTAL CHARGES <br />$ <br />TIME <br />TIME <br />DRIVER <br />RECEIVED <br />BY <br />WE MAKE DELIVERIES INSIDE THE CURB LINE AND ON THE LOT AT THE CUSTOMER'S RISK ONLY AND ACCEPT NO RESPONSIBILITY FOR DAMAGES RESULTING FROM SUCH DELIVERIES. <br />ALL BILLS DUE AND PAYABLE BY THE 10TH OF THE MONTH. A 1'/v% PER MONTH CHARGED ON PAST DUE ACCOUNTS. THIS IS AN ANNUAL <br />PERCENTAGE RATE OF 18N. CUSTOMER WILL BE RESPONSIBLE FOR ALL COURT AND ATTORNEY COSTS FOR COLLECTION. <br />SIERRA OFFICE SUPPLIES d PRINTING (916) 386-1872 <br />